Evaluation of Training and Quality Management during 8 Years (original) (raw)
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The journal of Tehran Heart Center, 2013
Cardiopulmonary-cerebral resuscitation (CPCR) training is essential for all hospital workers, especially junior residents who might become the manager of the resuscitation team. In our center, the traditional CPCR knowledge training curriculum for junior residents up to 5 years ago was lecture-based and had some faults. This study aimed to evaluate the effect of a problem-based method on residents' CPCR knowledge and skills as well as their evaluation of their CPCR trainers. This study, conducted at Tehran University of Medical Sciences, included 290 first-year residents in 2009-2010 - who were trained via a problem-based method (the problem-based group) - and 160 first-year residents in 2003-2004 - who were trained via a lecture-based method (the lecture-based group). Other educational techniques and facilities were similar. The participants self-evaluated their own CPCR knowledge and skills pre and post workshop and also assessed their trainers' efficacy post workshop by c...
Background: In most cases of cardiac arrest, the chances of a favorable outcome depend not only on efficient BLS, but also on the early use of defibrillation. In a hospital environment, the first responders are most likely to be members of the nursing staff. The potential advantage of these personnel being able to perform early defibrillation, as well as BLS, is considerable. Study Objective: Identify the effect of teaching program on knowledge and skills regarding automatic external defibrillation among nurses working in emergency unit Research design: A quasi experimental. Setting of the study: Emergency care medical department at Assuit University Hospitals. Sample: Nurses working in selected setting and having more than one year clinical experience (about 50 nurses). Methods: Two tools were used for data collection. Tool one is (knowledge assessment tool). Tool two is (skills assessment tool).The current study was carried out on the assessment of the nurses’ level of knowledge and skills using tool one and tool two. Followed by implementation where all the groups were exposed to four sessions and assessment carried out. Data was collected by the researcher during approximately six months starting. Results: The study revealed that the majority of nurses had poor knowledge and skills related to AED before teaching program which has been improved after Also, a positive correlation was found between knowledge and skills scores of the study subjects. In conclusion, empowerment of critical care nurses knowledge and skills would have a positive impact upon their knowledge and performance. The study recommended that continuous In–service training programs for the purpose of updating the knowledge and skills of AED for nurses working with cardiac arrest patients. Keywords: Cardiopulmonary resuscitation (CPR); Basic life support; automatic external defibrillation (AED) ; Knowledge; Skill; Teaching Program
Effect of station training method on students' cardiopulmonary resuscitation activity
Journal of Critical Care Nursing, 2010
Aims: Having comprehensive knowledge and skill of Cardio Pulmonary Resuscitation (CPR) is necssary for all medical staff nowadays. Use of simulation training is a good method for improving students’ clinical skills in resuscitation. This method develops participants’ skills and helps them learn about new equipment and procedures. This study was designed to examine the effect of station training method on students’ skills in CPR. Methods: In this interventional study data was gathered in two phases, before and after intervention. Units of study were 37 senior students of nursing and midwifery in faculty of Booyeh. Data was collected using standard checklists by observing students’ performance in basic and advanced CPR in stations of Objective Station Clinical Evaluation (OSCE) before and after station training. Data was analyzed by SPSS 11.5 software using descriptive statistic indices and Wilcoxon nonparametric test. Results: Students’ performance in basic and advanced CPR demonstra...
Anatolian Journal of Emergency Medicine, 2021
Aim: The aim of the present study was to investigate the knowledge level and skills of paramedics working in prehospital 112 emergency medicine health services in the Konya province on making a decision for and applying defibrillation and cardioversion. Material and Methods: Sixty-two paramedics working for the prehospital 112 emergency medicine health services in Konya province were included in this cross-sectional study. The data were collected through personal data form and the defibrillation and cardioversion application assessment observation form developed by the researcher. Results: Of the paramedics, 90.3% were determined to have been diagnosed with ventricular fibrillation within the first 10 seconds and 90.4% were determined to have made a decision for defibrillation within the first 10 seconds. Of the paramedics, 58.1% were found to inquire regarding instability findings in patients who had ventricular tachycardia (VT) and whose pulses were palpable; 75.8% were found to have made a decision for applying cardioversion within the first 10 seconds, and 72% were found to activate the synchronous (SYNC) button. Differences were found in the selection of a proper energy value when the defibrillator electrodes were on the defibrillator and enabling safety/ warning steps during defibrillation and cardioversion applications. Conclusion: It was concluded that paramedics are successful in recognizing rhythm, making a decision for defibrillation and cardioversion, and that simulation training improved the skills. On the other hand, the participants were seen to have insufficiencies at concurrent pulse and rhythm control, making a decision for starting cardio-pulmonary resuscitation, energy selection when the defibrillator electrodes were on the defibrillator and energy load when the defibrillator electrodes were on the patient, inquiring stability/instability findings, applying gel and enabling safety/warning during the cardioversion procedure.
Resuscitation, 2005
Introduction: The quality of first-responder performance at the end of automated external defibrillator (AED) training may not predict the performance adequately during a real resuscitation attempt. Methods: Between January and December 2000, we evaluated 67 resuscitation attempts in Amsterdam and surroundings, where police officers used an AED. We compared their performance with their assessment at the end of their ERC AED training course. One of the main goals of training was to deliver a shock within 90 s after switching the power on in the AED. Results: We analysed 127 police officers working in 67 police-teams. The police officers had a mean age of 35 years (range 23-54 years), 73% was male. The interval between AED training and the first resuscitation attempt was a median of 4 months (range 1-13). 78% percent of the 67 teams consisted of two police officers who both were qualified as "competent" after the initial training. Successful completion of the course correlated well with good performance during a resuscitation attempt (p = 0.009). When measured switching the power on in the AED, 92% of the victims received a shock within 90 s. Conclusions: Successful training correlates well with successful performance in the field. Competence of a team may be better than competence of two separate individuals.
Acta Scientific Medical Sciences, 2019
It has been widely demonstrated that bystanders' CPR improves survival rate of out of hospital cardiac arrest: for this reason, more bystanders should be trained to BLSD. To such extent BLSD training could be very challenging, especially if addressed at non medical population. Previous investigations in United States showed that police officers could be trained to use effectively AED and that police's AED programs are cost-effective [1,4]. In addi-Theory: Survival rate after cardiac arrest strongly depends on the delay occurring from the beginning of Basic Life Support and Defibrillation (BLSD) and then Advanced Life Support (ALS). Providing more bystanders as first rescuer could improve survival after cardiac arrest on the territory. Hypothesis: In this study we wanted to compare a peer to peer BLSD training to a professional BLSD training for police officers in the Campania region. Furthermore we matched in these two different trainings the skills maintained after one year. Methods: In this retrospective study we evaluated the feasibility and efficacy of a peer to peer BLSD teaching compared to a professional teaching in the police officers. From 2013 to 2018 700 police officers (Group A) were trained in peer to peer while 620 police officers (Group B) were trained with traditional course. Results: The results demonstrated that check for responsiveness percentage was 68.5% in Group A and 70.4% in the Group B; the calls to Emergency System 118 percentage was 88.5% in the Group A and 90.9% in the Group B; open the airway and giving breaths percentage was 52% in the Group A and 52,3% in the Group B; chest compressions percentage was 83.9% in the Group A and 86.4% in the Group B; correct use of AED percentage was 93.5% in the Group A and 92.4% in the Group B; the percentage of police officers that passed the questionnaire after the training was 63.2% in the Group A and 69.8% in the Group B (p 0.05). Conclusion: The police officers that were trained by peer instructors showed comparable skills in BLSD for adult compared to those that were trained by professional instructors. tion, many studies demonstrated that police officers equipped with AED within large metropolitan cities achieved a decrease of callto-shock time provided by police officers as first responders and an increase in patient survival from out-of-hospital cardiac arrest [5,15]. Cardiac arrest is an important cause of death in the Italy.
Basic life support knowledge and skills in emergency medical services, Islamic Republic of Iran
Eastern Mediterranean Health Journal
Background: Considering the importance of pre-hospital resuscitation, it is necessary to update staff on the relevant knowledge and skills through education, sufficient practice, good supervision and recruitment of appropriately qualified cadres. Aims: This study aimed to determine the association between knowledge and skills for emergency medical services (EMS) of basic life support in northwest Khuzestan province, Islamic Republic of Iran, in 2016. Methods: This cross-sectional study was conducted on all EMS (75 participants) in two emergency centers in the southwest of the Islamic Republic of Iran. The sampling was done via the available census. Three questionnaires were used: 1) demographic information (age, time of participation in retraining classes, academic degree, and employment); 2) knowledge of basic life support (BLS); and 3) checklist of BLS and automated external defibrillator (AED) skills. Data analysis was done using descriptive statistics, chi-square, ANOVA and Kruskal-Wallis test. Results: 30.7% of the emergency medical services had poor knowledge (mean score was 19.35 1 / 10 WHO EMRO | Relationship between knowledge and skill for basic life support in emergency medical serv ± 3.9; range: 0-34) and 42.7% of subjects had poor skills (mean score was 5.40 ± 2.39; range: 0-9). Both results are higher than the national average. The findings also indicated that 70.7% of staff did not use AED devices correctly, and there was a significant relationship between staff knowledge and skills with AED device use (P < 0.05). Among the 41 participants that had taken part in training classes 12 months previously, more than 50% had poor skills (n=21) and only 7 participants had good skills. Also, among the 11 participants who had taken part in training classes 3 months ago, 7 participants had good skills. In general, there was no relationship between staff knowledge and skill (P > 0.05). Conclusion: The results showed that none of the participants acquired a full knowledge score and only 6 participants gained the total skill score.